ATI Pharmacology Online Practice A Questions &
Answers
1. A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of
the following adverse reactions is the priority finding to report to the provider? - ANS ✔ -
Respiratory Depression
2. A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the
following findings should indicate to the nurse that the medication is effective? - ANS ✔ - The
client is able to wash their face.
-Rationale: Levodopa works by activating dopamine receptors, restoring nerve transmission
for clients who have Parkinson's disease. Carbidopa enhances these effects by inhibiting the
breakdown of levodopa in the intestine and periphery. These therapeutic effects assist the
client with moving freely and resuming ADLs.
3. A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine.
The client asks why the injection must be given IM instead of through the IV line. Which of the
following responses should the nurse make? - ANS ✔ - "Your medication can't be given IV
because it is not water-soluble"
4. A nurse is reviewing a client's medical history before administering hydromorphone for
postoperative pain. The nurse should notify the provider of which of the following findings
before administering this medication? - ANS ✔ - Benign Prostatic Hyperplasia
-Rationale: A client who has benign prostatic hyperplasia is at increased risk for developing
acute urinary retention while taking opioids. Therefore, the nurse should notify the provider
about this finding before administering hydromorphone
5. A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine.
Which of the following foods should the nurse include in the teaching as an appropriate food
choice? - ANS ✔ - Yogurt
-Rationale: Clients taking phenelzine should avoid consuming tyramine, which can cause
high blood pressure. Yogurt contains little or no tyramine. Therefore, the nurse should
instruct the client that yogurt is an appropriate food choice.
6. A nurse is assisting in the care of a client in the provider's office. (Complete the following
sentence) "The nurse is planning to reinforce teaching to the client about their newly prescribed
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, medication. The nurse should plan to reinforce with the client to _______ and _______" - ANS ✔
- 1st Blank: Use saline nasal spray prior to administering medication
2nd Blank: instill two sprays of the medication in each nostril
7. A nurse is assisting in the care of a female older adult client on a medical-surgical unit (Complete
the following sentence) "The client is at greatest risk for developing ______ as evidenced by
_______" - ANS ✔ - 1st Blank: Medication Toxicity
2nd Blank: Trough level
8. A nurse is reinforcing teaching about comfort measures with the guardian of a 10-year-old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated
because of the risk for which of the following conditions? - ANS ✔ - Reye Syndrome
-Rationale: Aspirin is contraindicated for children and adolescents who have a viral illness
because it increases the risk for the development of Reye Syndrome (Apparently it's a
condition that causes confusion, swelling in the brain, and liver damage, yikes!)
9. At 0800 a nurse assists with initiating a 1,000mL IV infusion for a client, which is running at
125mL/hr. How much fluid is left in the IV bag at 1300? - ANS ✔ - 375 mL
10. A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic
acid. The nurse should instruct the client to report which of the following adverse effects of
valproic acid to the provider immediately? - ANS ✔ - Abdominal Pain
-Rationale: The greatest risk to the client is hepatotoxicity and pancreatitis, which can cause
abdominal pain. Therefore, the client should notify the provider immediately if experiencing
a decrease in appetite, nausea, abdominal pain or jaundice.
11. A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat
hypertension. Which of the following conditions should the nurse include as a contraindication
for this medication? - ANS ✔ - Bradycardia
-Rationale: Metoprolol is a beta blocker that slows the conduction through the AV node.
Therefore, it is contraindicated for clients who have bradycardia, or a heart rate that is
consistently less than 60/min
12. A nurse is collecting data from a client who has hyperthyroidism and a new prescription for
propylthiouracil. The nurse should monitor the client for which of the following manifestations
as an adverse effect of this medication? - ANS ✔ - Sore Throat
-Rationale: The nurse should monitor for sore throat and fever because these are early
indications of agranulocytosis, which is an adverse effect of propylthiouracil
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Answers
1. A nurse is caring for a client who is taking disulfiram and consumed alcohol 12 hr ago. Which of
the following adverse reactions is the priority finding to report to the provider? - ANS ✔ -
Respiratory Depression
2. A nurse is collecting data from a client who has been taking levodopa/carbidopa. Which of the
following findings should indicate to the nurse that the medication is effective? - ANS ✔ - The
client is able to wash their face.
-Rationale: Levodopa works by activating dopamine receptors, restoring nerve transmission
for clients who have Parkinson's disease. Carbidopa enhances these effects by inhibiting the
breakdown of levodopa in the intestine and periphery. These therapeutic effects assist the
client with moving freely and resuming ADLs.
3. A nurse is caring for a client who has a prescription for an IM injection of penicillin G benzathine.
The client asks why the injection must be given IM instead of through the IV line. Which of the
following responses should the nurse make? - ANS ✔ - "Your medication can't be given IV
because it is not water-soluble"
4. A nurse is reviewing a client's medical history before administering hydromorphone for
postoperative pain. The nurse should notify the provider of which of the following findings
before administering this medication? - ANS ✔ - Benign Prostatic Hyperplasia
-Rationale: A client who has benign prostatic hyperplasia is at increased risk for developing
acute urinary retention while taking opioids. Therefore, the nurse should notify the provider
about this finding before administering hydromorphone
5. A nurse is reinforcing dietary teaching with a client who has a new prescription for phenelzine.
Which of the following foods should the nurse include in the teaching as an appropriate food
choice? - ANS ✔ - Yogurt
-Rationale: Clients taking phenelzine should avoid consuming tyramine, which can cause
high blood pressure. Yogurt contains little or no tyramine. Therefore, the nurse should
instruct the client that yogurt is an appropriate food choice.
6. A nurse is assisting in the care of a client in the provider's office. (Complete the following
sentence) "The nurse is planning to reinforce teaching to the client about their newly prescribed
1|Page
, medication. The nurse should plan to reinforce with the client to _______ and _______" - ANS ✔
- 1st Blank: Use saline nasal spray prior to administering medication
2nd Blank: instill two sprays of the medication in each nostril
7. A nurse is assisting in the care of a female older adult client on a medical-surgical unit (Complete
the following sentence) "The client is at greatest risk for developing ______ as evidenced by
_______" - ANS ✔ - 1st Blank: Medication Toxicity
2nd Blank: Trough level
8. A nurse is reinforcing teaching about comfort measures with the guardian of a 10-year-old child
who has a viral infection. The nurse should plan to tell the parent that aspirin is contraindicated
because of the risk for which of the following conditions? - ANS ✔ - Reye Syndrome
-Rationale: Aspirin is contraindicated for children and adolescents who have a viral illness
because it increases the risk for the development of Reye Syndrome (Apparently it's a
condition that causes confusion, swelling in the brain, and liver damage, yikes!)
9. At 0800 a nurse assists with initiating a 1,000mL IV infusion for a client, which is running at
125mL/hr. How much fluid is left in the IV bag at 1300? - ANS ✔ - 375 mL
10. A nurse is reinforcing teaching with a client who has seizures and a new prescription for valproic
acid. The nurse should instruct the client to report which of the following adverse effects of
valproic acid to the provider immediately? - ANS ✔ - Abdominal Pain
-Rationale: The greatest risk to the client is hepatotoxicity and pancreatitis, which can cause
abdominal pain. Therefore, the client should notify the provider immediately if experiencing
a decrease in appetite, nausea, abdominal pain or jaundice.
11. A nurse is reinforcing teaching with a newly licensed nurse about using metoprolol to treat
hypertension. Which of the following conditions should the nurse include as a contraindication
for this medication? - ANS ✔ - Bradycardia
-Rationale: Metoprolol is a beta blocker that slows the conduction through the AV node.
Therefore, it is contraindicated for clients who have bradycardia, or a heart rate that is
consistently less than 60/min
12. A nurse is collecting data from a client who has hyperthyroidism and a new prescription for
propylthiouracil. The nurse should monitor the client for which of the following manifestations
as an adverse effect of this medication? - ANS ✔ - Sore Throat
-Rationale: The nurse should monitor for sore throat and fever because these are early
indications of agranulocytosis, which is an adverse effect of propylthiouracil
2|Page
